Individual provider · Type 1 NPI

Edwin Douglass Iv, COTA/L

Occupational Therapy Assistant · Cape Coral, FL

NPI number 1609584515 Active

Practice location

2629 Del Prado Blvd S
Cape Coral, FL 33904-5769

Call (239) 574-4434 Map

Mailing address

6200 Mahaffey Rd Unit 106
Fort Myers, FL 33966-1646

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA19164 (FL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1609584515

Edwin Douglass Iv, COTA/L's National Provider Identifier is 1609584515, issued on Nov 9, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Cape Coral, FL. The record was last updated on Nov 9, 2022.